Shirley Kelley
NPI 1104138015 · Counselor · Texarkana, TX
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shirley Kelley is a Counselor provider in Texarkana, TX (NPI 1104138015).
Provider details
- NPI number
- 1104138015
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 64202 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-08
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Frequently asked questions
- What is Shirley Kelley's NPI number?
- Shirley Kelley's National Provider Identifier (NPI) is 1104138015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shirley Kelley's specialty?
- Shirley Kelley is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Shirley Kelley located?
- Shirley Kelley's practice location on file with NPPES is 1125 N Robison Rd, Texarkana, TX 75501-4103.
- What is Shirley Kelley's phone number?
- The practice phone number listed in the NPPES registry for Shirley Kelley is (903) 832-2860.
- Does Shirley Kelley accept Medicare?
- Shirley Kelley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shirley Kelley's NPI active?
- Yes — Shirley Kelley's NPI (1104138015) is active in the NPPES registry as of the last update on 2024-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.